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NPI Code Detail

MEDICARE: DR. ADAM JOHN GLAZIER M.D.

MEDICARE: DR. ADAM JOHN GLAZIER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician21981IA

General Provider Information

NPI Number : 1437143427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM JOHN GLAZIER M.D.
Provider Business Mailing Address
First Line : 2830 15TH ST S
Second Line : UNIT C
City : FARGO
State : ND
Zip : 58103-5978
Country : US
Telephone Number : 515-771-7143
Fax Number :
Provider Business Practice Location Address
First Line : 2101 ELM ST N
Second Line :
City : FARGO
State : ND
Zip : 58102-2417
Country : US
Telephone Number : 701-239-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 06/03/2013

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